Provider Demographics
NPI:1376716456
Name:RAY-KEITH, CHERYL (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:RAY-KEITH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:CHERYL
Other - Last Name:RAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1660 MEDICAL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1416
Mailing Address - Country:US
Mailing Address - Phone:239-449-3072
Mailing Address - Fax:877-334-1886
Practice Address - Street 1:1660 MEDICAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1416
Practice Address - Country:US
Practice Address - Phone:239-449-3072
Practice Address - Fax:877-334-1886
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 5769225XE1200X, 225X00000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics